Larry A Hickok, PT is a medicare enrolled "Physical Therapist" provider in Chetek, Wisconsin. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Hickok Rehabilitation Services Llc and his current practice location is
831 Dallas St, Chetek, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(800) 974-4378.
Larry A Hickok is licensed to practice in Wisconsin (license number 4639-24) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245304971.
Healthcare Provider's Profile
| Full Name | Larry A Hickok |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapy |
|---|
| Experience | 31 Years |
|---|
| Location | 831 Dallas St, Chetek, Wisconsin |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Larry A Hickok graduated from medical school in 1993
NPI Data:
- NPI Number: 1245304971
- Provider Enumeration Date: 11/17/2006
- Last Update Date: 05/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 6305810276
- Enrollment ID: I20040826000097
Medical Identifiers
Medical identifiers for Larry A Hickok such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245304971 | NPI | - | NPPES |
| 40253000 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 4639-24 (Wisconsin) | Primary |
| 2251X0800X | Physical Therapist - Orthopedic | 4639-02 (Wisconsin) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Hickok Rehabilitation Services Llc | 0446355572 | 2 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Larry A Hickok allows following entities to bill medicare on his behalf.
| Provider Name | Hickok Rehabilitation Services Llc |
|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1760424113
PECOS PAC ID: 0446355572
Enrollment ID: O20070419000078 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larry A Hickok is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Larry A Hickok, PT
24014 W Renwick Rd Unit 206,
Plainfield, IL 60544-8711
Ph: (800) 974-4378 | Larry A Hickok, PT
831 Dallas St,
Chetek, WI 54728-5811
Ph: (800) 974-4378 |
Reviews and Comments